Kristina Nicole Nyberg

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP449713 Issued in PA

Practice address

117 S Walnut St
Ligonier, PA 15658-1034

Phone

(724) 238-0342

NPI assigned

Sep 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Giant Eagle Inc

  dba Giant Eagle Pharmacy 2421

  • Community/Retail Pharmacy
  • Ligonier, PA
  • NPI 1972518801
  NPD (past)
• Giant Eagle, Inc

  • Community/Retail Pharmacy
  • Punxsutawney, PA
  • NPI 1356207526
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1811668577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S WALNUT ST",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581034",
            "telephone_number": "724-238-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S WALNUT ST",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156581034",
            "telephone_number": "724-238-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP449713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lynn Neiderhiser, RPH
• Michelle R Neiderhiser, RDN, LDN
• New Eve Fertilitycare Center
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Thomas P Nowicki
• Gene John O'Sullivan, D.C.
• Cheryl A Ozias
• Peter Pacienza, D.C.
• Adrianne Kathleen Palmer
• Nichole J Panico

• Pharmacist in Ligonier, PA
• Providers in Ligonier, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.